IPAC RHTE# )- 5 -4119434- Harnett County Department of Public Health 29766
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
(�_ � PROPERTY LOCATION: �cti4�3 taL
ISSUED TO: k�eiIic-ttn,1—{ZW1Lae, SUBDIVISION LOT#
NEW 51-' REPAIR ❑ EXPANSION ❑
Type of Structure: 69 <- 538')414ri S t=p
Proposed Wastewater System Typ� !Lem t �A S�
Projected Daily Flow: (oC<—� GPD
Number of bedrooms: Number of Occupants: t vel max
Basement ❑Yes o
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes C}'N0 ❑ May be d based on final location and elevations of facilities
Type of Water Supply: 11Community ublic ❑ Well Distance from well ICXi Sr- feet
Permit conditions:
Permit valid for.
�rs
❑ No expiration
Authorized State Agent.: Date: C4 / 201 f SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is retfonsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject in compliance with the provisions of
the laws and Poles for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements o1 Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met Sysems shall be installed in accordance
with the attached system layout
ISSUED TO: 1):s) CAM - - aq'n CA'Q' ('ulXtkk PROPERTY LOCATION: 60ctla
SUBDIVISION LOT #
Facility Type: ,584- 13fy')(1 t9 f SFb Ei—Ne-w� ❑ Expansion ❑ Repair
Basement? ❑ Yes E; -o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 5.5 7:225;: (Initial) Wastewater Flow: 00 GPD
(See note below, if applicable ❑)
r?SY? dz'. o,n Seo . (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I also gallons Exact length of each trench /oma feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 14 inches
Maximum Trench Depth of: Oji inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different hom the type tpecibed on the application. / accept the rpecifcations of this permit
Dwner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstmcnon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AIIALHLD Sllt SKLILH
Authorized State Agent: ate: I a 161 /;;of —+
A +��xa xZ L �tc12, n7 Construction Authorization Expiration Date: is 10I 1 RCQ:A
HTE#
1--`S-'43434 Permit # G`-1.4-r�, r-,
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 'S O�jg C— G? T F -7c -16-E. .
ISSUED TO: 1031;W 4 OCkAcl[, fly� SUBDIVISION LOT #
Authorized State Agent /' � 2�a� Date: t a f G t! a p l
10
66 13g'Kt15�
sFn /co
Q 3'3.(,4/1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: — Applicant: 0A -k- (6t46<�
Address: Shy$ k /_ Date Evaluated: tt 130(! �—
Proposed Facility: Design Flow (.1949): 4 CSN-_> Property Size:
Location of Site: Property Recorded: yf9
Water Supply: ublic❑ Individual ❑ Well ❑ Spring
Evaluation Method: Auger Borin ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(in.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo2v
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
1
L W%
o . �4_
a
L 4"/o
o-ra
Ls1Z
yf°
14
o.q
L y%
o�l �
v� 4.5
✓� .JSSP�/
16-38
4/� 5w
re
ps
38¢
Pc.3rrk.
Description Initial Repair System Other Factors (.1946):
System Site Classification(. 1948):
Available Space (.1945) 1 Evaluated By:
S temT s) - $�. Others Present: kAc);-;,. G�r�Ay
Site LTAR p,Q